Non-Playing Membership Online Registration Form

This form is for those wishing to apply for Non-playing Membership of Worthing Cricket Club. This form may be used for applications by Singles or Couples.

Anyone wishing to make use of the club and bar facilities must be registered as a Member of Worthing Cricket Club.

Personal Details

Name *

Address (including postcode) *

Contact No. *

Email *

If this application is for a Couple, please provide the name of Spouse / Partner

Name of Spouse / Partner

Payment

The Annual Subscription for 2019 is £10 for Singles or £15 for Couples

Select your payment method *

Bank TransferStanding OrderChequeCash

Standing Order or Bank Transfer is via: HSBC Bank, Sort code 40-47-22, Account No. 01108662

Cheques are payable to Worthing Cricket Club

Please return cheques or cash to:
Andy Lutwyche, 54 Marlowe Road, Worthing, West Sussex BN14 8EP

Declaration

Submission

Fields marked * must be completed